Animal Care Provider - Montgomery County, OH - Dayton, OH

Entry level class in animal care control occupation under close supervision requiring some knowledge of custodial care applicable to animals in order to care for sheltered animals.

Job Duties:

Provides care for sheltered animals (e.g., feeds, waters, cleans and exercises animals), and cleans and disinfects cages, floors and related kennel areas in accordance with established practices, selects animals for adoption, assists veterinarians with examinations, administers vaccines and medications to animals as required, performs euthanasia of injured, sick and unadoptable animals by established approved methods.

Escorts individuals through kennels to identify lost dogs, conducts pre-adoption interviews to ensure responsible placements, provides information to individuals (e.g., prices, conditions of adoption and effective care, state and local laws, animal behavior management, pet selection), prepares carcasses for disposal, and disposes of animal remains according to state health regulations and established practices.

Enters and retrieves information on computer (e.g., animal records), assists in general office operations (e.g., answers phones, provides information to public regarding licensing and dog control requirements), and operates portable two way radio and uses various equipment to locate information (e.g., microfiche, computer terminal).
(Performs Related Duties As Required)

Minimum Class Requirements:

Completion of high school diploma; ability to read and write common vocabulary. Must have valid driver's license with acceptable driving record. -OR alternative, equivalent evidence of the Minimum Class Requirements.

Training & Development:

Must obtain Euthanasia Technician certification within 6 months of hire date. Must maintain CET certification.

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Surgical Bill Provider Appeals Analyst - Travelers Import - Tampa, FL

Surgical Bill Provider Appeals Analyst more... ?
October 29, 2011 (last updated 21 hours 25 min ago)

Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.

SUMMARY: Under general supervision this position is responsible for examining and evaluating previously paid complex surgical bills based on additional information submitted by medical providers to determine and generate correct payment. Responding to escalated calls from medical providers regarding payment decisions for surgical services. Providing Medical Provider Appeals Analysts with expert technical support for most complex medical issues. Responsible for keeping abreast of rules, regulations and contracts that are continuously changing PRIMARY DUTIES: Perform a detailed review of previously submitted complex surgical services bills along with accompanying reports/information for accuracy and to determine appropriateness. Using multiple screens on the Medical Bill Re-pricing System, read and interpret scanned complex surgical reports to determine that procedures on bill were actually performed and coded to reflect the services that were actually provided. Compare bill and rates with appropriate fee schedule rules, clinical edits, and Medicare, National Correct Coding Initiative (NCCI), internal Travelers protocols and PPO contracts to determine whether additional payment is due or if recovery of overpayment is necessary. Compile surgery, anesthesia, and co-surgeon, assistant, and hospital bills to determine if there is overlap or duplication of any services and that appropriate Diagnosis Related Grouping (DRG), coding, trauma, and implantable surgical devices are used. Identify each instrumentation item used and re-price using invoices or data base. Apply payment policies to medical supplies and drugs/ medicine. Make accurate payments to medical providers based on the results and analysis of each medical bill. If original decision will be upheld, develop a formal response with supporting documentation. Commence recovery measures, when overpayment has occurred. Serve as the liaison between the provider and company including department leadership, Travelers Claim Product team and third party vendors Regularly and independently identify and bring to managements attention any unusual/new medical or surgical procedures or billing anomalies identified during the review. In addition to day-to-day responsibilities, participates on high volume special projects in support of the New Product team. Deliver superior customer service to Travelers Claim professionals and those medical providers with escalated issues. Answer questions and analyze and resolve problems. Provide expert medical advice to Medical Provider Appeals Analysts. Assist management by providing mentorship and training to raise the overall level of medical proficiency. EDUCATION/COURSE OF STUDY: College degree and /or equivalent work experience preferred.

WORK EXPERIENCE: Registered Nurse or Licensed Practical Nurse with Surgical experience Orthopedic surgery experience, a plus. 10+ years of clinical experience CERTIFICATES/DEGREES: Certified Coder preferred or commensurate experience with the following resource materials: Current Procedural Terminology (CPT) International Classification of Diseases-9 Revision (ICD-9) Healthcare Common Procedural Coding System- 9th Revision (HCPCS) codes Itemized hospital bills, hospital records. Certified California Medical Bill Reviewer a plus. Able to handle very complex and unusual coding and procedures Certified California Medical Bill Reviewer, a plus.

COMMUNICATION SKILLS: Solid customer service telephone skills. Strong interpersonal communication skills. Strong verbal and written communication skills, including effective sentence construction, grammar, spelling, and punctuation.

COMPUTER SKILLS: Basic computer skills: ability to toggle between screens to find data that is needed to process medical bills. Proficiency in Microsoft Office products (e.g. Excel, Power Point, Word, Outlook) OTHER: Must have excellent working knowledge of human anatomy & medical terminology. Working knowledge of Workers Compensation processes and procedures including fee schedule and payment rules preferred.

Solid math skills: must be able to quickly and accurately add, subtract, multiply and divide with the assistance of a calculator. Proven ability and interest in staying abreast of new and emerging surgical trends and literature. Strong attention to detail and ability to independently reads and comprehend completely the details of a surgical operative report and notes and assess them against all appropriate rules and protocols. Must have proficient knowledge of medications and dosages. Able to identify medication as to whether it is a capsule, pill, inject able, intrathecal, or topical. Proven ability to effectively coach and mentor co-workers with less medical knowledge. Strong comprehension and analytical skills Ability to produce high quality results in a high production environment Superior Organizational Skills and Attention to Detail Commitment to Task Continuous Learning Decision Making and Problem Solving skills. Decisiveness Sense of urgency Flexibility Travelers is an equal opportunity employer. We actively promote a drug-free workplace.

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Unit Manager, Medical/Surgical Bill Provider Appeals - Travelers Import - Tampa, FL

Unit Manager, Medical/Surgical Bill Provider Appeals more... ?
October 29, 2011 (last updated 21 hours 24 min ago)

Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.

SUMMARY: This position is responsible for providing direction and leadership to a team comprised of medical and surgical provider appeal analysts. Ensuring accuracy and timeliness of reviewing and analyzing appeals. Selecting and training staff. Initiating all human resources actions (performance management, performance assessments and ratings, salary & rewards and recognition administration, etc.) PRIMARY DUTIES: Establish, monitor and deliver individual team goals based on overall office Service Level Agreement (SLA) Coordinate work activities to ensure appropriate deployment of resources to maximize productivity and ensure highest level of service Motivate team members by providing training, honest constructive performance feedback and counseling. Ensure proper bill review handling techniques are utilized to provide consistent quality. Good working knowledge of all areas of Appeals. Monitor new medical bill issues and billing trends and report to next level management. Research and report system issues. Work with next level management to establish and implement staffing strategy. Implement strategies and initiatives to improve appeals review quality and productivity. Using multiple screens on the Medical Bill Re-pricing System to investigate and resolve escalated provider calls and medical appeals Create and deliver performance reviews Coach, monitor and facilitate the development of team members to maximize individual and organization performance Evaluate and manage performance objectives relative to quality, productivity & other office standards/goals as well as providing individual team feedback on an ongoing basis Recognize all factors of performance, business results & personal effectiveness EDUCATION/COURSE OF STUDY: Bachelors degree preferred and /or equivalent work experience WORK EXPERIENCE: Proven ability to lead a team of analysts in a high quality/ high production environment. Certified Coder preferred or commensurate experience with the following resource materials; Current Procedural Terminology, International Classification of Diseases-9 Revision, Healthcare Common Procedural Coding System- 9th Revision, itemized hospital bills and other hospital records. Certified California Medical Bill Reviewer a plus. Knowledge of Workers Compensation claim process and procedures, preferred. Good working knowledge of human anatomy and medical terminology preferred. Strong interpersonal communication skills. Excellent verbal and written communication skills, including effective sentence construction, grammar, spelling, and punctuation. Solid math skills - must be able to quickly and accurately add, subtract, multiply and divide with the assistance of a calculator. Basic computer skills - ability to toggle between screens to find data that is needed to process medical bills and working knowledge of Microsoft Office products (e.g. Excel, Power Point, Word, Outlook). Ability to understand business drivers and effectively communicate business decisions.

OTHER: Good leadership skills. Strong analytical skills Ability to perform and be flexible in a high production environment Ability to handle multiple tasks. Superior Organizational Skills and Attention to Detail Commitment to Task Continuous Learning Strong decision making and problem solving skills. Ability to think issues through to conclusion, weighing the benefits and risks effectively. Sense of urgency Ability to deliver performance objectives in a timely manner. Travelers is an equal opportunity employer. We actively promote a drug-free workplace.

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Medical Bill Provider Appeals Job - Travelers Insurance - Tampa, FL

Medical Bill Provider Appeals Job more... ?

Medical Bill Provider Appeals Job Apply now Date: Oct 4, 2011 Location: Tampa, FL, US Solid reputation, passionate people and endless opportunities.That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.

SUMMARY: Under general supervision this position is responsible for examining and evaluating previously paid moderate to complex medical bills, based on additional information submitted by medical providers, to determine and generate correct payment. Responding to escalated calls from medical providers regarding payment decisions for medical services. Responsible for keeping abreast of rules, regulations and contracts that are continuously changing.

PRIMARY DUTIES: Perform a detailed review of previously submitted medical, hospital, durable medical equipment, pharmacy, home health et al bills along with accompanying reports/information for accuracy and to determine appropriateness.Using multiple screens on the Medical Bill Re-pricing System, read and interpret scanned medical reports to determine that services on bill were actually performed and coded to reflect the services that were actually Providedpare bill and rates with appropriate fee schedules, clinical edits, Medicare, National Correct Coding Initiative (NCCI), internal Travelers protocols and PPO contracts to determine whether additional payment is due or if recovery of overpayment is Necessarypile all medical bills to determine if there is overlap or duplication of any services.Apply payment policies to medical supplies and drugs/ medicine.Make accurate payments to medical providers based on the results and analysis of each medical bill.If original decision will be upheld, develop a formal response with supporting documentation. Commence recovery measures, when overpayment has occurred.Serve as the liaison between the provider and company including department leadership, Travelers Claim Product team and third party vendors.Regularly and independently identify and bring to management-s attention any unusual/new medical procedures or billing anomalies identified during the review.In addition to day-to-day responsibilities, participates on high volume special projects in support of the New Product team.Deliver superior customer service to Travelers Claim professionals and those medical providers with escalated issues. Answer questions and analyze and resolve problems.EDUCATION/COURSE OF STUDY: College degree preferred and /or equivalent work experience Previous Appeals experience reviewing workers compensation medical bills highly desirable.CERTIFICATES/DEGREES: Certified Coder preferred or commensurate experience with the following resource materials: Current Procedural Terminology (CPT) International Classification of Diseases-9 (ICD-9) Revision Healthcare Common Procedural Coding System - 9th Revision (HCPCS) codes Itemized hospital bills, hospital records.Certified California Medical Bill Reviewer a plus.

COMMUNICATION SKILLS: Solid customer service telephone skills.Strong interpersonal communication skills.Strong verbal and written communication skills, including effective sentence construction, grammar, spelling, and punctuation.

COMPUTER SKILLS: Basic computer skills: ability to toggle between multiple screens to find data that is needed to process medical bills. Proficiency in Microsoft Office products (e.g. Excel, Power Point, Word, Outlook).

OTHER: Good working knowledge of human anatomy and medical terminology preferred Working knowledge of Workers Compensation processes and procedures including fee schedule and payment rules preferred.

Solid math skills: must be able to quickly and accurately add, subtract, multiply and divide with the assistance of a calculator.Proven ability and interest in staying abreast of new and emerging medical trends and literature.Strong attention to detail and ability to independently read and comprehend completely the details of a medical bill/report and notes and assess them against all appropriate rules and protocols.Strong comprehension and analytical skills Ability to produce high quality results in a high production environment Superior Organizational Skills and Attention to Detail Commitment to Task Continuous Learning Decision Making and Problem Solving skills.Decisiveness Sense of urgency Flexibility Travelers is an equal opportunity employer. We actively promote a drug-free workplace.

Job Category: Claim Nearest Major Market: Tampa Job Segments: Customer Service, Healthcare, Human Resources, Medical, Medical Equipment, Medicare, Pharmacy, Workers Compensation

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County Manager- Hospitality and Catering Training Provider...

Organisation Description

Reed Education is URGENTLY recruiting for an exciting County Manager role with a specialist vocational training provider for the hospitality and leisure industries.

Our client aims are simple: to help employers increase the effectiveness and profitability of their staff, to develop learners’ personal, economic and social status and to enhance the level of service given to their customers and clients.

Courses our client trains and assesses include:
Catering and hospitality
Customer service - to include the World Class Customer Serviceskills Awards as approved by the National Academy of Hospitality and Leisure
Cleaning
Statutory training (food safety)
Health & Safety, First Aid
Apprenticeship
Train to Gain (subject to funding)

Nationally focussed, our teams of award–winning trainers and assessors are based throughout England and we have links with other training providers in the rest of the UK.

Job Description

Job title: County Manager
Reporting to: Regional Manager
Responsible for: Assessors and/or Team Leaders

Purpose of the role: To support the business growth activity within a specific area, in order to meet agreed targets and budget contributions
Principle duties: The management of Team Leaders and/or Assessors to ensure than an area fulfils the agreed targets and objectives for a specific area

Employer engagement and business development:
To develop and implement a marketing strategy and plan to retain and develop existing business and develop new business contacts across the sub-sectors of Hospitality
To actively network with relevant agencies and stakeholders to promote the business
to conduct monthly sampling of employers via employer questionnaires and visits and report details to Regional Manager
To undertake meetings and prepare information for funding agencies as required

Staff management and training:
To co-ordinate a team of Team Leaders and/or Assessors, ensuring that they reach all their agreed targets for new starts and completions of programme participants’
To co-ordinate and oversee the effective induction of all new recruits, to include the implementation of an agreed CPD plan
To performance manage and regularly review all direct reports and to ensure that all staff within team are reviewed and provided support to deliver targets
To identify and deal with non-performance

Quality assurance management:
Liaising with external verifiers, Performance managers and Internal lead IV for verifications and EV visits
To support an Ofsted inspection
To host team meetings on a regular basis and update all team
To carry out random sampling of learner soft files to ensure compliance with LSC funding guidance

Person Specification

Requirements for the role:

Excellent literacy, numeracy and ICT skills
Training and coaching qualifications to include D32/D33/D34 and or A1/V1
Substantial experience in a supervisory or management role where responsibilities included team performance management, budget, compilation and monitoring and managing of contracts and service level agreements

You must have good WBL management experience and have managed at least a team of 6 assessors - qualified and unqualified
Hospitality should be one of the sectors that you are familiar with
You must have a positive attitude
Marketing experience is a must as well as experience of hitting/excelling on targets, budgets and profiling that replicates their areas historic performance but satisfies growth plans and contracts
You must have an ambitious outlook and have the desire to succeed

All candidates who register with Reed Education will have 2 years’ referencing taken up and will be required to have a CRB check completed. All offers are conditional upon satisfactory background checks.

Please call Jacqueline Clewlow on 0121 237 2623 or email jacqueline.clewlow@reedglobal.com

Reed Specialist Recruitment Limited is an employment agency and employment business

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